Organization · Type 2 NPI

Crystal Fountain Home Services LLC

Assisted Living Facility · Madison, FL

NPI number 1689041865 Active

Practice location

1912 N State Road 53
Madison, FL 32340-3947

Call (850) 274-3131 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1689041865

Crystal Fountain Home Services LLC's National Provider Identifier is 1689041865, issued on Aug 24, 2015. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Madison, FL. The record was last updated on Aug 24, 2015.